Healthcare Provider Details

I. General information

NPI: 1508397696
Provider Name (Legal Business Name): JOSEPH MICHAEL GRESCHNER D.P.M
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/21/2017
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

511 BURROUGHS ST STE 101
MORGANTOWN WV
26505-3389
US

IV. Provider business mailing address

511 BURROUGHS ST STE 101
MORGANTOWN WV
26505-3389
US

V. Phone/Fax

Practice location:
  • Phone: 304-974-0317
  • Fax: 304-892-8790
Mailing address:
  • Phone: 304-974-0317
  • Fax: 304-892-8790

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number10493
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: